Core Viewpoint - The ongoing reform of medical service pricing is significantly impacting hospitals and healthcare providers, with concerns about revenue implications and the complexity of implementation [1][2][11]. Group 1: Medical Service Pricing Reform - The National Healthcare Security Administration (NHSA) has issued a new guideline for urological medical service pricing, consolidating 421 existing pricing items into 108, with additional charges and expansions [1]. - The NHSA has released 29 batches of the "Medical Service Pricing Project Establishment Guidelines (Trial)" to standardize medical service pricing across regions, but the implementation has been slow and cautious [1][4]. - Some regions, like Inner Mongolia, have successfully implemented over 20 batches, while most areas have only seen 5-6 batches adopted [4]. Group 2: Implementation Challenges - Hospitals express concerns about the impact of the new guidelines on their already fragile revenue, particularly as some new projects do not fully map onto existing ones [2][3]. - The implementation process involves two main steps: mapping existing medical projects to the new guidelines and setting prices, which has proven complex and labor-intensive for hospitals [5][6]. - Hospitals are under pressure to adapt quickly, with some staff feeling unprepared due to missed training sessions [7]. Group 3: Revenue Impact Concerns - There is a widespread fear among hospitals that the pricing reforms will lead to reduced revenue, especially in areas like radiological examinations and clinical assessment scales [8][9]. - For instance, the price of CT scans has dropped from over 300 yuan to around 200 yuan, and MRI scans from 600 yuan to 500 yuan, which could significantly affect hospital income [8]. - The clinical assessment scales have seen a drastic reduction in both the number of items and their prices, raising concerns about the sustainability of revenue from these services [9]. Group 4: Confusion Over Costing and Billing - Hospitals face confusion regarding which consumables can be charged separately, as the guidelines include basic consumables in the project pricing [13][14]. - There is a call for a standardized naming system for medical consumables and a clear directory for billable items to alleviate these concerns [14]. - Some existing local projects are not included in the new guidelines, leading to uncertainty about their future status and whether they will be discontinued [15].
印发快、落地慢 面对「医疗服务价格改革」医院在忧虑什么？
Di Yi Cai Jing·2025-06-18 00:12